| NPI | 1649563578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301098361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098361) |
| 208000000X Pediatrics (Licence: MI 4301098361) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098361) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2022-07-21 |